Tucker, Gwendolyn Rita
Tucker, Gwendolyn Rita is an sole proprietor health care provider with primary practice located at 206 Waggoner , Toledo OH 43612. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Tucker, Gwendolyn Rita can be contacted via phone (419) 964-7728.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X | Ohio |
Profile Details
| NPI number | 1457868135 |
|---|---|
| LBN Legal business name | Tucker, Gwendolyn Rita |
| Credentials | PCA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2018 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457868135 | NPPES |
| Ohio | MEDICAID | 0111545 |
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